Cañete, Baby Girl .

HRN: 29-23-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2026
AMPICILLIN 250MG (VIAL)
06/27/2026
07/04/2026
IV
45mg
Q 12
Prematurity
Checking Initial Appropriateness 
06/27/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
06/27/2026
07/04/2026
IV
4mg
Q 36
Prematurity
Checking Initial Appropriateness 
06/30/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/30/2026
07/06/2026
IV
14mg As LD Then 7mg IV Q12
Q12
T/C NEC
Checking Initial Appropriateness 
07/10/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/10/2026
07/17/2026
IVTT
12mg
OD
T/C Sepsis
Checking Initial Appropriateness 
07/10/2026
CEFTAZIDIME 1GM (VIAL)
07/10/2026
07/17/2026
IVTT
45mg
OD
T/C Sepsis
Checking Initial Appropriateness 
07/12/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
07/12/2026
07/19/2026
TOPICAL
1mm
Bid
Iv Burn Right Foot
Checking Final Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: